| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
467 |
413 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
133 |
131 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
95 |
93 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
57 |
56 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
178 |
171 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
24 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
94 |
44 |
$1K |
| 90670 |
|
57 |
57 |
$1K |
| 99174 |
|
251 |
246 |
$1K |
| 90716 |
|
44 |
43 |
$714.94 |
| 90651 |
|
20 |
19 |
$714.87 |
| 81003 |
|
211 |
203 |
$548.73 |
| 90707 |
|
42 |
41 |
$522.17 |
| 90723 |
|
29 |
29 |
$443.14 |
| 36415 |
Collection of venous blood by venipuncture |
123 |
118 |
$371.70 |
| 85018 |
|
122 |
122 |
$345.60 |
| 90647 |
|
27 |
27 |
$344.91 |
| 90633 |
|
28 |
28 |
$335.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
259 |
252 |
$285.46 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
209 |
205 |
$177.24 |
| 36416 |
|
31 |
31 |
$25.30 |
| 99000 |
|
145 |
137 |
$0.00 |